NPIMap

Organization Active NPI

Advanced Integrative Movement, LLC

  • Physical Therapist
  • Olympia, WA
National Provider Identifier
1649389271
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00004067 Issued in WA
Legal business name
ADVANCED INTEGRATIVE MOVEMENT, LLC
Practice address
3000 Limited LN NW
Suite 100
Olympia, WA 98502-2704
Phone
(360) 292-7245
Fax
(360) 292-7247
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kurt W Moss, PT
Title
Owner Therapist
Phone
(360) 292-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00004067 WA Primary

Addresses

Primary practice location

3000 Limited LN NW
Suite 100
Olympia, WA 98502-2704

Mailing address

PO Box 11009
Cascade Billing
Olympia, WA 98508-1009
Phone (360) 352-2037

Other identifiers 2

IdentifierTypeStateIssuer
7131063MedicaidWA
0212356OtherWAL & I

Other names 1

  • AIM Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1175 Center Dr
Ste 160
DuPont, WA 98327
Phone (253) 212-1718

4700 Point Fosdick Dr
Ste 311
Gig Harbor, WA 98335
Phone (253) 358-3079

3000 Limited Ln NW
Ste 100
Olympia, WA 98502
Phone (360) 292-7245

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1649389271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11009",
            "address_2": "CASCADE BILLING",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081009",
            "telephone_number": "360-352-2037",
            "fax_number": "360-352-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LIMITED LN NW",
            "address_2": "SUITE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022704",
            "telephone_number": "360-292-7245",
            "fax_number": "360-292-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTEGRATIVE MOVEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "360-292-7245",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00004067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7131063",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0212356",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIM Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.